Provider Demographics
NPI:1720202591
Name:LIN, HUI-CHUAN (MA)
Entity Type:Individual
Prefix:MS
First Name:HUI-CHUAN
Middle Name:
Last Name:LIN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1641
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94042-1641
Mailing Address - Country:US
Mailing Address - Phone:650-515-3491
Mailing Address - Fax:
Practice Address - Street 1:21710 STEVENS CREEK BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-1172
Practice Address - Country:US
Practice Address - Phone:650-515-3491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2015-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37621106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist